| NPI | 1720139777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD31065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D53689) |
| 207R00000X Internal Medicine (Licence: VA 0101231535) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-06-25 |